Lakiesha Bohannon, PA
NPI #1255889853 in Richardson, Texas
Provider Information
- NPI Number
- 1255889853
- Entity Type
- Individual
- Name
- Lakiesha Bohannon, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Sep 13, 2016
- Last Updated
- Aug 4, 2020
Practice Location
- Address
- 3600 SHIRE BLVD STE 104
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-2236
- Phone
- (972) 487-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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